TIMOTHY ROBERT SIMIC NURSE PRACTITIONER - NPI 1053904896 - Nurse Practitioner in Louisville, KY

Q: What is Timothy Simic's NPI number?

The NPI number for Timothy Simic is 1053904896. It was assigned to this individual provider in the NPPES registry on February 12, 2021.

Q: What is Timothy Simic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Simic was last updated on March 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Timothy Robert Simic Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY ROBERT SIMIC NURSE PRACTITIONER (NPI 1053904896) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3015217) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053904896

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTIMOTHY ROBERT SIMICCredential: NURSE PRACTITIONER

Location Address1357 BARDSTOWN RDLouisville, KY 40204-1353

Mailing Address3800 Ormond RdLouisville, KY 40207-1903 · (502) 558-9325

Phone(502) 897-6443

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateFebruary 12, 2021

Last NPPES UpdateMarch 17, 20222 updates tracked since enumeration

NPPES CertifiedMarch 17, 2022

✔ NPI 1053904896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3015217

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 1102450 (KY)

1357 BARDSTOWN RD, Louisville, KY 40204

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Other Identifiers 1

Medicaid7100571750KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Robert Simic Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618480708

PECOS Enrollment IDI20250701004195

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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